The Efficacy of Oral Everolimus in Patients With Neovascular Age-related Macular Degeneration

NCT ID: NCT00857259

Last Updated: 2011-08-19

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

16 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-02-28

Brief Summary

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The study will assess the safety and efficacy of Everolimus (RAD001) alone or in combination with Lucentis in patients with neo-vascular age related macular degeneration (AMD)

Detailed Description

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Conditions

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Choroidal Neo-Vascular Age-onset Macular Degeneration Age-related Macular Degeneration

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Everolimus 5 mg

5 mg orally once daily plus sham ocular injection on Day 1 (Baseline) until Day 28

Group Type EXPERIMENTAL

Everolimus

Intervention Type DRUG

5 mg oral tablet

Ranibizumab 0.5 mg

Ranibizumab intra-vitreal therapy (IVT) 0.5 mg on Day 1 (baseline)

Group Type ACTIVE_COMPARATOR

Ranibizumab

Intervention Type DRUG

0.5 mg administered by intravitreal injection

Oral Everolimus (5mg) and Ranibizumab (0.5mg)

Everolimus orally 5 mg once daily plus Ranibizumab Intra-vitreal therapy (IVT) 0.5 mg on day 1 (baseline)

Group Type ACTIVE_COMPARATOR

Everolimus

Intervention Type DRUG

5 mg oral tablet

Ranibizumab

Intervention Type DRUG

0.5 mg administered by intravitreal injection

Interventions

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Everolimus

5 mg oral tablet

Intervention Type DRUG

Ranibizumab

0.5 mg administered by intravitreal injection

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients with neovascular Age-Related Macular Degeneration (AMD)
* Best corrected visual acuity ( BCVA) of 20/40 or worse in study eye
* Patients with predominantly classic, minimally classic, or occult choroidal neovascularization in the macula of one eye (the study eye) who have had an inadequate response to VEGF inhibitors in the study eye. Inadequate response is defined as a gain of less than one line of visual acuity and persistent macular edema (central sub-fiel thickness ≥ 300 μm as measured by Optical Coherence Tomography (OCT) despite a minimum of 3 treatments with Lucentis or Avastin

Exclusion Criteria

* Any concurrent ocular condition in the study eye that may result in substantial change in vision during the study
* Uncontrolled medical conditions such as cancer, angina, diabetes, viral or fungal infections, impaired lung function, history of stroke
* Patients who have macular edema in the study eye that, in the judgment of the investigator, is unlikely to respond to treatment. Examples of features that may guide the investigator's judgment about unresponsiveness are large regions of geographic atrophy, retinal angiomatous proliferation, or large regions of sub-retinal fibrosis. The presence of one of these features excludes a patient only if the investigator judges the study eye to have irreversible macular edema.
* active bacterial, fungal or viral infections at the time of enrollment, e.g. hepatitis B or C infection. Patients with risk factors for hepatitis B should be tested for hepatitis B viral load and serological markers at screening (a positive HBV-DNA, HBsAg). Patients with risk factors for hepatitis C should be tested using HCVRNA-PCR at screening. A clinical history of hepatitis B or hepatitis C will exclude the patient from the study.
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novartis Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Novartis Pharmaceuticals

Principal Investigators

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Novartis Pharmaceuticals

Role: STUDY_DIRECTOR

Novartis Pharmaceuticals

Locations

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Retina-Vitreous Associates Medical Group

Beverly Hills, California, United States

Site Status

Retinal Consultants Medical Group, Inc.

Sacramento, California, United States

Site Status

Porter Adventist Hospital, Diagnostic Eye Laboratory

Denver, Colorado, United States

Site Status

Discover Vision Center

Independence, Missouri, United States

Site Status

Novartis Investigative Site

Bristol, , United Kingdom

Site Status

Novartis Investigative Site

Frimley, , United Kingdom

Site Status

Novartis Investigative Site

Liverpool, , United Kingdom

Site Status

Novartis Investigative Site

London, , United Kingdom

Site Status

Novartis Investigative Site

Oxford, , United Kingdom

Site Status

Novartis Investigative site

Portsmouth, , United Kingdom

Site Status

Novartis Investigative Site

Southampton, , United Kingdom

Site Status

Novartis Investigator Site

Wolverhampton, , United Kingdom

Site Status

Countries

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United States United Kingdom

Other Identifiers

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EudraCT number: 2008-003550-15

Identifier Type: -

Identifier Source: secondary_id

CRAD001A2203

Identifier Type: -

Identifier Source: org_study_id

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